ER (1994–2009): Season 1, Episode 15 - Feb 5, '95 - full transcript
Dr. Greene gets offered a new job by Morgenstern.
[theme music]
[siren wailing]
So, what do they need us for?
A lady's been trapped
in a car for over an hour.
They can't move her
until we intubate her.
They always drive this fast?
Yup.
They ever hit anybody?
All the time.
How can you eat through this?
I'm hungry.
Alright, we're here.
Grab the O‐neg, stay close.
Cherokee missed the runway
slammed into a car
on the access road.
Guy in the plane is toast.
The other victim is already out.
There's a lady pinned
in the backseat.
Fire's been trying
to get to her for 50 minutes.
The plane's been leaking fuel
so they haven't been able
to use the jaws.
I'm freezing.
Anybody got a coat?
Yeah. Get the doctor
a coat, will you?
(male #1)
...two large IVs.
BP is 70/30.
Golden hour's almost over.
Head trauma, ALOC.
We've been bagging her but she's
been biting down and gagging.
Husband and two kids
are already at the hospital.
(Mark)
'Carter, follow me in.'
‐ Get that O‐neg goin', alright?
‐ Okay.
If we don't get her outta here
in the next couple of minutes
she's not gonna make it.
Start with Pavulon.
Versed...to sedate.
(Mark)
'Cricoid pressure.'
I got it.
Finally..
'...succinylcholine.'
What the hell is that?
'It's aviation fuel.
Laryngoscope.'
I wouldn't smoke if I were you.
Think gasoline comes out
of camel hair?
‐ Can we get in here?
‐ 'Two seconds.'
Ah, tube's in.
‐ New coat?
‐ Christmas.
Nice.
It was.
Yeah, release pressure.
Alright, clear out.
Slide out, Carter, come on.
‐ 'Keep bagging.'
‐ 'Start the chopper.'
(male #1)
'Move, let's move,
they're coming out.'
(male #1)
'Move her! Move her fast!'
Thank you.
May I? Thanks.
Watch out.
So, you decided
on a specialty yet?
[chuckles]
My folks are set on cardiology.
Yeah, but what are you thinking?
I'm thinking
this is pretty exciting.
Yeah, it's not bad.
Stress, late nights
hard work, no pay.
It's hard to beat.
‐ Watch her head.
‐ Let's go, guys, move her.
Both femurs broken
possible spinal cord injury.
Pressure's 80.
We're gonna notify the OR
before we get there.
You fly before?
Oh, yeah. Lots of times.
‐ What's the MAR?
‐ County general.
Faster, faster
Make sure you get that fire out.
She gonna make it?
She is now.
(male #2)
'Watch that tail rotor!'
'Alright, guys, we're gonna
move her out on three'
Ready? One, two, three.
No room!
Can't go, stay here
and grab our stuff
then ride back
with the paramedics.
She's free. Long backboard.
It's a hell of a life, isn't it?
‐ What?
‐ It's a hell of a life.
I said I want to
have sex with your wife.
[theme music]
[music continues]
God, he's in a foul mood.
Today is a good day.
You finish
your trauma presentation?
Not yet, I was gonna try
and grab a couple of minutes
this morning,
how about you? You do much?
Not really, I am so far behind,
I may not even finish.
Benton's gonna kill me.
Oh, don't worry about it.
Just do your best
How does he expect us to prepare
when we're following
him around on 36‐hour shifts?
Ms. Chen, if this surgical
rotation is too much for you
there's always dermatology.
48‐year‐old MVA
fractured right femur.
Pressure 60/40.
Abdomen's rigid.
Alright, let's get
some O‐neg going.
‐ 'Wide open.'
‐ 'Already did it.'
(Peter)
'Okay, what's your name, sir?'
Bill McClintock.
(Peter)
'Mm‐hmm.'
Mr. McClintock,
is it tender here?
[groans]
‐ Were you wearing a seat belt?
‐ No.
You will the next time, I bet.
Peritoneal lavage.
Carter, look at his abdomen.
Either A, he's bleeding out
and he needs to go
to the OR immediately
or he's giving birth
to a basketball.
Haleh, call up to OR.
I already called.
Dr. Benton, head trauma in one.
Alright, I'll be right there.
Ms. Chen, get a Foley
catheter started.
You ever do one before?
You're in for a treat.
Carter, since when does it take
two students to start a Foley?
Let's move.
Clean it with Betadine
put K‐Y on the catheter
and...thread it in.
Give it to me.
42 years old, collapsed
playing handball
pressure crashing, 40 palp
tachycardic 110, resps 30.
Two liters NS in, 15 liters O‐2.
Name's Jonathan Weiss.
Man, it hurts.
Am I having, am I having
a heart attack?
Do you have a history
of cardiac trouble?
No.
I'll get a CBC,
Chem 7, enzymes
coag panel and chest film.
He's very pale.
He's not oxygenating.
Pressure's still 40 palp.
‐ What do we got, Susan?
‐ Possible MI.
I don't want to die.
Man, well, we don't
want you to die
so you do your part,
and we'll do ours, okay?
His breathing's not
improving with oxygen.
‐ Could be a pulmonary embolism.
‐ A w‐what?
A blood clot
in your lungs, Mr. Weiss.
Have you had
any surgery recently?
Any kind of a car accident?
Any sort of trauma?
(Jonathan)
'No.'
Spend a lot of time
traveling, Sitting?
‐ No.
‐ EKG.
T‐wave inversions.
‐ I'm thinking heart.
‐ I'm not. VQ scan.
He has no risk factors
and mid‐sternal chest pain.
I need that chest film.
And I need an echo.
Alright, well, that can't hurt.
Let's do it.
Mr. Conally?
‐ 'Yes?'
‐ Where are you?
Right here, under the sheet.
Why are you under the sheet?
I've been dead for two days.
Okay.
But you are still
suffering from headaches.
Oh, boy, am I ever!
And what precipitates
these headaches?
Death.
‐ What was that?
‐ Nervous tic.
I've had it for years.
Ow! Ouch!
Blood gases are back.
PO‐2's low, 50.
Where the hell
is the chest film?
Behind you, Dr. Greene.
(Mark)
'Pulmonary artery's enlarged.'
‐ Perfusion scan?
‐ VQ mismatch.
You were right.
1.5 million units
streptokinase.
Forget the streptokinase.
Let's get him to trauma.
We need a fluoroscope
down here.
And somebody get Morgenstern
to get his pants off.
Rolando, we got a trauma room?
Yeah, two's open.
You're gonna do an embolectomy?
Yeah, first time for everything.
‐ What the hell is going on?
‐ A saddle embolus.
Mark's going in.
He's doing an extraction
in the ER?
Mr. Smitrovich is in four.
CBC, Chem 7,
blood gases, IV started.
Luchesse in six,
abdominal pain, vomiting blood.
‐ Oh, Dr. Benton..
‐ NPO and a nasogastric tube‐‐
‐ Dr. Benton?
‐ What is it, Carter?
Well, if Dr. Greene
is doing embolectomy
we...I would like to observe it.
Alright, well,
who's stopping you? Go.
‐ Thanks.
‐ You wanna go too?
Go, go, go.
Get out of here.
‐ What's the matter with you?
‐ Luchesse?
Vomiting blood, NPO
nasogastric tube,
gastric lavage.
You ordered a gastric lavage?
No, I wrote it down.
‐ You still have to sign it.
‐ Nurse?
‐ I write my own orders.
‐ Nurse?
Look, if you're
having a problem today
don't take it out on me.
I write the orders,
you carry them out.
Understood?
‐ Nurse.
‐ What?
(Lydia)
Isoproterenol's going.
Okay, ease the catheter
in slowly
'and thread it up
to the pulmonary artery.'
Be very careful not
to puncture the vena cava.
How's Mr. Weiss doing?
Resps are up to 45.
Pulse ox down to 63.
Hang in there, Mr. Weiss
you'll be feeling better
before you know it.
Carter, Chen, why don't you
get over here so you can see?
See that?
(Mark)
'I'm in the right ventricle.'
Is that cool or what?
‐ Carter, you see the embolus?
‐ Yeah, it's huge.
(David)
'Position the cup
against the clot.'
Good. Now, start
your syringe suction.
(David)
'And aspirate the embolus
into the cup.'
Got it.
'And now, work it back down.'
Just like snaking a drain.
Well, folks, I got
a date with a bile duct.
Carry on, one and all.
Pulse ox up to 85.
Resps are coming down.
How are you feeling, Mr. Weiss?
[breathing heavily]
I can breathe.
I can breathe.
Okay, Harold, so,
something bit you, huh?
Pet snake.
Oh, yeah?
I used to keep frogs.
Frogs are amphibians.
My snake eats frogs.
What kind of snake?
Yellow eyelash pit viper.
You have a pet pit viper?
‐ Is it poisonous?
‐ Very.
‐ I'll call poison control.
‐ Mm‐hmm.
Are you feeling weak, Harold?
Nauseous, any chills?
No, not that kind of stuff.
Can you tell if it's
poisonous just by looking?
I don't think so.
'Cause I got him
right here in the bag.
Yeah, we're gonna keep him
in the bag, Harold, okay?
No, he's cold‐blooded and I
had him on the El all day, so..
...he'll sleep.
He was here a minute ago.
You shouldn't have
contradicted me
in front of the nursing staff.
I wasn't contradicting you,
we disagreed on a diagnosis.
I'd appreciate you
showing a little more
restraint in the future.
The man was dying.
I'm asking you for respect.
Are you going to
give it to me or not?
I wasn't being disrespectful.
Yes or no?
I respect you, Susan.
Thank you. Now, try to
show it once in a while.
I'll get animal control in here.
What's going on?
Doug, what is going on?
Dr. Ross in ER.
Pit viper got loose.
I'm gonna need 15 vials..
‐ A snake?
‐ A big snake.
Dr. Greene, 36‐year‐old
woman with breast cancer.
EMT's brought her in
from Dignity House.
Two modified
radical mastectomies.
It's spread to her lymph nodes.
‐ Who are you?
‐ I'm Anita Risberg.
I'm a nurse over
at, uh, the hospice.
Mark Greene. Is she on chemo?
Uh, tamoxifen,
but it's metastasized.
Pelvis, spine.
‐ You got her on morphine?
‐ 120 milligrams just to sleep.
But the last couple of days,
it's just not enough.
(Anita)
'I got worried
if I upped the dose'
it would cause further
respiratory depression.
You're right. It would.
‐ What's her name?
‐ Grace. Grace Holsten.
‐ 'Hi, Grace.'
‐ Doc..
‐ I'm Mark Greene.
‐ Doctor.
We're gonna try and make you
a little more comfortable.
Doctor, please..
...let me die.
Please.
Let me die.
[breathing heavily]
(Doug)
'Animal control guy believes
it's a kind of tree snake.'
He thinks it'll crawl up
someplace high where it's warm.
Whoops. Sorry, Doug.
Terrific. I'll spend
my day on my hands‐‐
Hey, Lydia.
Doug, come over here.
Okay.
Okay, it took about six months
and a couple thousand
requisition forms
but I finally did it.
Guess what's under the sheet?
‐ Come on, guys. Guess.
‐ We don't wanna guess.
Oh, come on. Please.
‐ New day bed for the lounge?
‐ Nope.
‐ New vending machines?
‐ Nope.
Ta‐dum!
New crash carts.
(female #1)
'Hey, we won't
get zapped anymore.'
Well, cardiology wanted 'em
but I was relentless.
Dr. Benton, you got an abdominal
pain in curtain three.
and you got a gunshot
victim coming in.
Now, no raiding off
the new crash carts, okay?
Everything on these carts
stays on the carts.
Thank you.
Dr. Benton, um, about this
afternoon's trauma presentation
uh, I‐I'm not
quite fully prepared yet.
You've known about it for weeks.
Yes, sir. I know that‐‐
Don't call me "sir," Ms. Chen.
Yes, sir. I mean, doctor.
Uh, I'm‐I'm sorry.
I only need a half hour, so..
And what about you, Mr. Carter?
Do you also need more time?
No, I'm all set.
Well, Ms. Chen,
when you find you have the time
to rejoin us, please, do so.
84‐year‐old man complaining
of abdominal pain.
‐ Where's his chart?
‐ In the rack.
At the desk.
Carter, go get his chart.
I'll need a CBC, Chem 7,
coag panel
and drop a nasogastric tube.
You gonna write this down?
I'm not comfortable
taking verbal orders.
I think you better write
everything down for us.
‐ Us?
‐ The nurses.
(Carter)
'Here's his chart.'
Start writing.
Grace..
...we've added fentanyl
to the morphine.
(Mark)
'See if that helps.'
'If it doesn't work,
we have three choices.'
We can insert a catheter
into your spinal cord
to deliver the morphine.
No.
'Or we can surgically
cut the spinal tracts'
'that carry the pain
from your legs and back.'
No.
Or we can increase your morphine
but your dosage
is already so high
it might depress your breathing.
Can you stop this pain?
I'm not sure.
‐ We're trying.
‐ Try harder.
[breathing heavily]
‐ Resps?
‐ Fourteen.
Let me know if her
breathing gets any worse.
Okay.
Don't even ask.
Mark, keep me company.
Good call on that
pulmonary embolism.
‐ Thanks.
‐ Oncology saw' 'em.
Found a small polyp.
Probably if he hadn't
tossed a clot
who knows how far
that thing would have gone
before rearing
his ugly little head.
What's all this?
Uh, some kind of
tree snake got loose.
‐ Really?
‐ Yeah.
I was really impressed
this morning
about your concern
for the medical students
making sure that they were
involved and learning.
‐ You're a fine teacher, Mark.
‐ Thanks.
You given any thought as to what
you're gonna do next year?
Start repaying med school loans.
I've sent out few letters,
but I haven't really started.
I'd like you to give
some give some thought
to joining the staff here.
As an attending?
Of course, you won't
make as much money
as the cowboys
at the private hospitals
but there are other rewards,
ephemeral as they may be.
Well, think about it, anyway.
No. No.
I'd be honored. Really.
[bell dings]
Now, here's my bus.
‐ Thank you.
‐ Thank you. You earned it.
(Doris)
'Twelve‐year‐old male,
multiple gunshots'
to the legs and abdomen.
We scooped and ran.
IV's wide open, had two liters.
No palpable pressure.
(Peter)
'Alright, people
let's look alive.'
'Let's wheel him in.
Get him in. Come on, now.'
O‐neg. Let's move!
Grab me that dinamap.
Is that IV infiltrated?
‐ Hang the blood Y‐tubing.
‐ Ready, lift.
‐ 'Come on.'
‐ 'Let's get an H and H.'
‐ 'I don't get a pulse.'
‐ 'He's still breathing.'
We tried to apply pressure,
he‐he was a sieve.
We didn't know where to start.
His name is Yummy Jackson.
‐ Drive‐by?
‐ Drug deal gone bad.
‐ Gang thing.
‐ At 12 years old?
Kid had a Tech‐9
and a Ruger on him
when we found him.
(female #2)
'Trauma one, get in here, now.'
'Alright, watch that line.'
She's still in a lot of pain.
Okay.
Grace, I'm sorry the fentanyl
isn't helping much.
It's helping a little.
Is there anything we can do
to make you more comfortable?
You can shoot me.
I'm sorry, I didn't bring
my gun to work today.
I don't think it's safe
to up the morphine any higher.
Afraid it'll kill me?
It might.
There's not a lot more that
the ER can do to help you.
Uh, do you want me
to admit you to the hospital?
[sighs]
Can I go back to the hospice?
Yes, you can, but they're
gonna need to bring you
back here for a higher dosage.
Can I take a little
while to decide?
Sure.
[indistinct chattering]
Can I help you?
Excuse me. Can I help you?
You can't be back here.
You must go now.
Oh, my God.
‐ Son of a bitch!
‐ Get out the way!
(Peter)
'You're too late.'
He's already dead.
[ECG flatlining]
It's madness.
You can see the posterior
dislocation of the knee
consistent with
this sledding injury
'which occurred
when the impact of the sled'
'applied direct force'
'to the anterior tibia'
'while the knee was flexed.'
'Injury to the..'
I'm really nervous.
‐ Don't worry about it.
‐ I picked too easy a topic.
I should've worked up
something more difficult.
Relax, Dr. Benton doesn't
expect that much from you.
It's your first rotation.
Should be attempted
using analgesia
'with horizontal traction
and realignment of the joint.'
Angiography, uh, should be
considered with attention
paid to the five P's, um..
...pain, pallor, paresthesias
uh, pulselessness and paralysis.
Alright, who's next?
Carter.
While attempting
a rollerblading maneuver
this 12‐year‐old male
fell on his outstretched..
...right hand resulting in a..
...Salt‐Salter Harris type II
epiphysial fracture
of the proximal humerus.
(Carter)
'To avoid damage
to the growth plate'
'the humeral head,
which is in varus angulation'
'and, uh, external rotation'
must be reduced by abducting
and externally rotating the arm
and then slowly
bringing the arm down.
'If the reduction
is not accomplished'
then the arm
must be maintained in a cast
in the Statue of Liberty
position.
Is that it?
Any questions?
Ms. Chen.
You'll do great.
Here.
Um, facial fractures.
(Deb)
'You'll find an outline'
and, uh, recent
research articles.
(Deb)
Would you pass it down?
Here we see examples
of a depressed fracture
of the left frontal bone
with disruption
to the orbital rim.
(Deb)
'Both the result
of blunt force trauma'
when the patient's face
intercepted a tire iron.
Uh, John, uh, if you
would please, the projector?
(Deb)
'Thank you.'
Orbital rim
and frontal sinus fractures
along with other fractures
to these facial bones
'often result in
concomitant CNS injury.'
'Diagnosis is established
with radiographic studies'
'and computerized tomography'
'preferably using
a three‐dimensional image'
'of the patient's skull.'
'As you can see
the frontal sinus'
'and orbital rim fractures here'
'are easily appreciated.'
How's her breathing?
Depressed but okay.
She's finally out.
Maybe we got the balance right
and she can get some sleep.
[Grace whispering]
'Kathy.'
Kathy.
‐ Who's Kathy?
‐ Her little girl.
Does she know she's here?
She lives out west somewhere
with Grace's ex‐husband.
Seattle, I think.
Grace gave up custody
when she entered the hospice.
She lost her child?
She entered the hospice to die.
'Life goes on.'
Then again,
sometimes it doesn't.
Old hospice joke.
(Grace)
'Oh, God!'
Oh, God. Oh, G..
‐ The fentanyl's wearing off.
‐ It hurts.
‐ Lie‐lie down.
‐ It hurts, it hurts.
Her resps are too low, I can't
give her anymore morphine.
‐ I can't, I can't stand it.
‐ I know, I'm sorry.
I'm so sorry.
It hurts. Please, doctor.
There's nothing else I can do.
Please, kill me.
Please. Please.
Shh. Relax.
‐ Please.
‐ Relax.
Please. Please.
Shh.
Susan!
‐ What do we got?
‐ 52‐year‐old male.
Grabbed his chest and collapsed.
Hypotensive, 80/60.
Tachycardic at 120.
Hypertension treated
with altace and tenormin.
‐ What are those, skates?
‐ This guy's a hockey ref.
Collapsed during
a game Kentbridge.
Some of the kids
followed us in a van.
Fifteen litres of O2,
Ringer's running in.
He's had eight migs morphine.
He's diaphoretic.
Call cardiology,
I need EKG and enzymes.
End of the line, guys. You gotta
wait in the waiting room.
‐ Is he gonna be okay?
‐ Uh, we don't know yet.
Uh, Mal‐Malik, can you
take them to waiting?
Yeah, I'll be there
in a minute.
We're gonna do
everything we can, okay?
(Susan)
'Okay, get the ambu‐bag.'
(Malik)
'Come on, guys.'
He's in fib. Crash cart.
‐ You'll see him later.
‐ 'Turn up the O‐2.'
Let's go.
‐ Where's the cart?
‐ Right here.
No, the new cart?
Where's the new cart?
Paddles.
I put one in here
less than an hour ago.
(Susan)
'Carol, 200.'
I can't believe somebody already
stole one of my new carts.
‐ 'Clear.'
‐ Clear.
Hey, is Jake around?
Uh, he went to get a soda.
Nice digs.
This is how
the other half lives?
I could do with
a little less glass, actually.
Well, there's
no blood on the carpet
so it's a step up from the ER.
You mind if I sit?
I've had my shots.
Yeah, Cindy was right.
You are kind of charming.
Is that...bad?
Depends.
‐ Jake's a great kid.
‐ He is a great kid.
'Hope you don't mind
if we shoot hoops now and then.'
I promise not to pass
along any misogyny
with the basketball tips.
Oh, don't worry,
if misogyny's genetic
he's inherited plenty
from his father.
Does he get to see his dad much?
They communicate by check..
...when it comes.
You know, if you don't like me,
you don't have to hide it.
You can just come
right out and show it.
I didn't know
I was being subtle.
‐ 'Hey.'
‐ Hey, yourself.
Dr. Ross has come to see if
you wanna play some basketball.
We'll be about a half an hour.
And put the jacket on.
I'll make sure he wears it.
Thanks.
D5 NS 100cc's per hour
NG tube,
gastric lavage, CBC
Chem 7 and amylase.
Alright, call the OR,
book a room
‐ What does this say?
‐ NG tube.
And by that, you would mean
a nasogastric tube?
Yes.
And this?
Dextrose 5, normal saline.
‐ An IV?
‐ Yes, an IV.
Well, I‐I've
examined the patient
and frankly, I believe she needs
a fine surgical hand like yours
to get an IV going properly.
[scoffs]
I'll have Carter do it.
And the nasogastric tube
you'll notice she has
a deviated septum
and I don't feel
comfortable putting one in.
I'll do it myself.
(Susan)
Tell the cath lab
his coag panel's cooking.
Here are his chest films.
See if you can find
those hockey kids
and tell 'em that
he's gonna be okay, will you?
‐ Thanks.
‐ Susan.
Susan.
Susan.
Susan, come on.
‐ Please. Susan.
‐ I'm busy, Mark.
I need to talk to you
about a patient.
End‐stage breast cancer,
bone mets to her back and legs
morphine's not working.
Neither's the fentanyl.
Susan, she's in agony.
There's nothing
I can do to help her.
Spinal morphine therapy,
cordotomy?
She refused both of them.
She just wants to die.
Well, it sounds like
she's going to soon.
She wants me to help her.
Her resps are down to 12.
If I give her
a little more morphine
her breathing will stop.
What would you do?
Uh..
...I don't know. I got to go.
How long are you
gonna keep this up?
You weren't there for me, Mark.
It was professional,
not personal.
We're not married,
we work together.
Professional is personal.
I miss you.
(Carter)
'All I'm saying is that
you could have told me'
you were doing facial fractures.
And that thing
with the computer?
I mean, I looked like an idiot.
No, no. Keep irrigating that.
[sighs]
I‐I can give you
the graphics program.
‐ I mean, it's easy to use.
‐ That's not the point.
The point is that I need a good
recommendation from Benton
if I'm gonna get
a surgical residency.
Alright, vertical
mattress, 4‐0 nylon.
‐ You wanna go into surgery?
‐ Yeah.
Why do you say it like that?
Uh, no, I mean,
I‐I think you'd be great.
No, you don't.
You just sounded surprised.
I do know a surprise
when I hear it
and you just, she just,
you just sounded surprised.
You really wanna
go into surgery?
I don't know. I might.
Well, look, John, I,
uh, I've seen my mother's
surgical residents
and the ones around here..
...it just
doesn't seem like you.
What do you mean,
your mother's residents?
Your mother's
a surgical attending?
Um, she's a chief of surgery.
Could‐could I get
some more 4x4s?
Chief of surgery.
‐ Where? What hospital?
‐ St. Bart's.
Why you even bother
coming to school?
I mean, you won't have any
trouble getting a residency.
'Look, it's not like that.
She won't help me at all.'
She didn't even want
me to go into medicine.
Uh, just don't say
anything to anyone, okay?
'They always jump to
conclusions and l end up having'
'to prove myself
all over again.'
'Okay? Please?'
John?
I found the snake.
[groaning]
Billy..
Billy..
Don't..
'Please.'
Mark, we need you
in two, rule out MI.
'Don't..'
Don't.
Billy, please.
Mark?
[groaning]
'I love you.'
[bell dings]
[dramatic music]
(Carter)
'Cardiology would
steal our crash carts?'
They steal everything.
‐ Are you sure they're up here?
‐ They were two hours ago.
Okay. Okay, Connie and Bob,
you stay with the carts.
You guys come with me.
I think we're in
the ladies room.
[water gurgling]
[indistinct chattering]
[giggling]
[door creaks]
Okay, ow!
[grunts]
Ow!
Oh, man!
[dramatic music]
Come on, come on,
come on, let's go.
‐ Dunphy's there.
‐ What do we do?
‐ Sheri Dunphy?
‐ Yeah.
Not a problem.
[indistinct chattering]
Sheri?
Doug, hi. How have you been?
Good. You look great.
You lost some weight?
I got married
last year, remember?
Believe me,
I'm still in mourning.
(Dunphy)
'Mm‐hmm. What are
you doin' up here?'
Is the cath lab still
up here, somewhere?
Uh, yeah, it's right
where it's always been.
If you could give me a hand,
really, just quickly. Please.
‐ Nope, I can't.
‐ You know, I got‐got a patient.
‐ I'm outta here.
‐ I've got a patient.
Six‐year‐old,
Tetralogy of fallot.
‐ Yeah. O‐okay.
‐ Uh, yeah, alright.
[chuckling]
He's unbelievable.
And you wonder why I slept
with him on the first date?
Really? First date.
You're kidding.
Yeah. He rang the doorbell.
Next thing I knew
we were on the kitchen floor.
Kitchen floor?
Sheesh! I gotta
start dating again.
Kids are having fun.
Yeah, they're, uh,
the hockey players from my MI.
Haven't been picked up yet.
How'd he do?
He's not dead,
if that's what you mean.
No.
That's not what I meant.
He's going to be fine.
How is she?
She died a couple
of minutes ago.
Respiratory failure?
[sighs]
I was listening
to those kids playing
and watching the snow fall.
You know, if you
stand right here.
Just‐just right over here
you can see the El from here.
Faces looking out the windows
into the darkness.
Life goes on, Mark.
[chuckles]
Do you wanna get
something to eat?
I can't. Uh, Jennifer
and Rachel are in town.
Another time maybe.
‐ Susan?
‐ Mm‐hmm.
Thanks.
See you tomorrow.
[indistinct chattering]
‐ 'Alright, come on, come on.'
‐ Stop now! Stop!
Where, where are their parents?
[speaking in foreign language]
‐ Carol!
‐ Yeah?
I'm having problems with Haleh.
So I heard.
I'd like you to reschedule her
so that we don't have
to work together anymore.
From what I hear, you're the
one who needs to be rescheduled.
So what does that mean?
You won't do it?
No, I won't. The nursing
schedule is my prerogative.
Even if that situation
is endangering patient care?
You work every day
and every third night.
Haleh's got
four kids to support.
When is she supposed to work?
The woman refuses
to follow my instructions.
Why should she? You're
still in training, remember?
‐ She already graduated.
‐ Oh, come on, Carol.
Don't give me that.
I mean, we are not equals.
Look, she may not know
how to cross‐clamp an aorta.
But Haleh has been working
in emergency medicine
for 20 years and if you
would ever hop off that pedestal
you've put yourself on,
you might see that
the nurses make this
place work, not you.
I smell food.
(Jennifer)
'I'm actually cooking.'
You mean like, from
scratch and everything?
Yeah, who knows? It might
become an annual tradition.
I don't know. I remember you...
cooking something last summer.
I think it was meat loaf maybe.
It definitely, yeah,
it was...something brown.
[chuckles]
Semi‐annual then.
When'd you get home?
'7:00 or so.'
'Traffic was awful.'
Where's Rach?
[sighs]
'She's in the bathtub.'
[sniffs]
Mm.
'God, what a week.
I'm exhausted'
‐ How was your day?
‐ Great and awful.
Tell me great.
I'm too tired for awful.
Morgenstern offered me a job..
...as attending
physician next year.
What'd you say?
I said yes.
Without discussing
it with me first?
An attending.
I figured I'd be
spending nights and weekends
at some community
hospital in Winnetka.
Is this a problem?
[sighs]
Well, can you tell Morgenstern
you need more time
to think about it?
I don't need to think about it.
This is a great opportunity.
Well, I'm not gonna know
until March if Judge Franklin
needs me to clerk for
him again next year.
Whoa!
You're considering spending
another year in Milwaukee?
'If he wants me to, yes.'
‐ Well, I assumed‐‐
‐ 'Exactly.'
You assumed things would be
the way you want them to be.
For the last six months,
things have not been exactly
'the way that I want them..'
I've been living by myself,
without my wife
without my daughter.
My wife? My daughter?
Mark, it's only been six months.
What about the
last six years, huh?
What about medical school
and rotations and residency?
Who was a paralegal so we
could put food on the table?
Who was in night school for
years trying to finish college?
Was that you?
No, that was me.
So, now I want it to
be about me for a change.
Not you.
How are you doing, Mr. Conally?
Are you still dead?
Oh, yeah, very.
My head feels better though.
Oh, well, that's good.
You just let us know if we can
get you anything else, okay?
Okay.
Goodnight.
Goodnight.
[sighs]
You're late. It's almost 10:00.
Yeah. I got held
up at the hospital.
Where's Walt and my sister?
Something at your
niece's school.
Uh, look, if you say
you're gonna be here at 8:00
'I need you to be here at 8.00.'
I've got an early
shift tomorrow.
Okay.
How was your first day?
How long ago was
your mother's stroke?
‐ 'Eight months.'
‐ It was a right parietal CVA?
Yeah.
Well, she's still suffering
from left hemiparesis.
Has she had any
physical therapy at all?
Of course she has
in the beginning.
Look, my mother doesn't have
any problems getting around.
I mean, that's the problem.
I mean, she's
always wandering off.
She's masking well.
But she has limited use
of her left arm and leg
and she's got bruises
all over her left side
'from running into things.'
And you‐you should have warned
me about the incontinence.
Yeah, well, that's, uh..
...that's just
a sometime thing, you know?
Not tonight, it wasn't.
[sighs]
Can you help my mother?
Well, I can't
make her any younger
but I can probably
improve her mobility.
She's a great lady.
I wish I would have known
her before the stroke.
Sure heard a lot about you.
She wouldn't stop
talking about her Petey.
I'm sorry about that.
No, hey, you're the baby
in the family, right?
I'm the...youngest
in the family, yeah.
Uh‐huh. My baby sister too.
My mom just loves her to death.
It still pisses me off.
Goodnight.
[sighs]
[sighs]
[theme music]
[siren wailing]
So, what do they need us for?
A lady's been trapped
in a car for over an hour.
They can't move her
until we intubate her.
They always drive this fast?
Yup.
They ever hit anybody?
All the time.
How can you eat through this?
I'm hungry.
Alright, we're here.
Grab the O‐neg, stay close.
Cherokee missed the runway
slammed into a car
on the access road.
Guy in the plane is toast.
The other victim is already out.
There's a lady pinned
in the backseat.
Fire's been trying
to get to her for 50 minutes.
The plane's been leaking fuel
so they haven't been able
to use the jaws.
I'm freezing.
Anybody got a coat?
Yeah. Get the doctor
a coat, will you?
(male #1)
...two large IVs.
BP is 70/30.
Golden hour's almost over.
Head trauma, ALOC.
We've been bagging her but she's
been biting down and gagging.
Husband and two kids
are already at the hospital.
(Mark)
'Carter, follow me in.'
‐ Get that O‐neg goin', alright?
‐ Okay.
If we don't get her outta here
in the next couple of minutes
she's not gonna make it.
Start with Pavulon.
Versed...to sedate.
(Mark)
'Cricoid pressure.'
I got it.
Finally..
'...succinylcholine.'
What the hell is that?
'It's aviation fuel.
Laryngoscope.'
I wouldn't smoke if I were you.
Think gasoline comes out
of camel hair?
‐ Can we get in here?
‐ 'Two seconds.'
Ah, tube's in.
‐ New coat?
‐ Christmas.
Nice.
It was.
Yeah, release pressure.
Alright, clear out.
Slide out, Carter, come on.
‐ 'Keep bagging.'
‐ 'Start the chopper.'
(male #1)
'Move, let's move,
they're coming out.'
(male #1)
'Move her! Move her fast!'
Thank you.
May I? Thanks.
Watch out.
So, you decided
on a specialty yet?
[chuckles]
My folks are set on cardiology.
Yeah, but what are you thinking?
I'm thinking
this is pretty exciting.
Yeah, it's not bad.
Stress, late nights
hard work, no pay.
It's hard to beat.
‐ Watch her head.
‐ Let's go, guys, move her.
Both femurs broken
possible spinal cord injury.
Pressure's 80.
We're gonna notify the OR
before we get there.
You fly before?
Oh, yeah. Lots of times.
‐ What's the MAR?
‐ County general.
Faster, faster
Make sure you get that fire out.
She gonna make it?
She is now.
(male #2)
'Watch that tail rotor!'
'Alright, guys, we're gonna
move her out on three'
Ready? One, two, three.
No room!
Can't go, stay here
and grab our stuff
then ride back
with the paramedics.
She's free. Long backboard.
It's a hell of a life, isn't it?
‐ What?
‐ It's a hell of a life.
I said I want to
have sex with your wife.
[theme music]
[music continues]
God, he's in a foul mood.
Today is a good day.
You finish
your trauma presentation?
Not yet, I was gonna try
and grab a couple of minutes
this morning,
how about you? You do much?
Not really, I am so far behind,
I may not even finish.
Benton's gonna kill me.
Oh, don't worry about it.
Just do your best
How does he expect us to prepare
when we're following
him around on 36‐hour shifts?
Ms. Chen, if this surgical
rotation is too much for you
there's always dermatology.
48‐year‐old MVA
fractured right femur.
Pressure 60/40.
Abdomen's rigid.
Alright, let's get
some O‐neg going.
‐ 'Wide open.'
‐ 'Already did it.'
(Peter)
'Okay, what's your name, sir?'
Bill McClintock.
(Peter)
'Mm‐hmm.'
Mr. McClintock,
is it tender here?
[groans]
‐ Were you wearing a seat belt?
‐ No.
You will the next time, I bet.
Peritoneal lavage.
Carter, look at his abdomen.
Either A, he's bleeding out
and he needs to go
to the OR immediately
or he's giving birth
to a basketball.
Haleh, call up to OR.
I already called.
Dr. Benton, head trauma in one.
Alright, I'll be right there.
Ms. Chen, get a Foley
catheter started.
You ever do one before?
You're in for a treat.
Carter, since when does it take
two students to start a Foley?
Let's move.
Clean it with Betadine
put K‐Y on the catheter
and...thread it in.
Give it to me.
42 years old, collapsed
playing handball
pressure crashing, 40 palp
tachycardic 110, resps 30.
Two liters NS in, 15 liters O‐2.
Name's Jonathan Weiss.
Man, it hurts.
Am I having, am I having
a heart attack?
Do you have a history
of cardiac trouble?
No.
I'll get a CBC,
Chem 7, enzymes
coag panel and chest film.
He's very pale.
He's not oxygenating.
Pressure's still 40 palp.
‐ What do we got, Susan?
‐ Possible MI.
I don't want to die.
Man, well, we don't
want you to die
so you do your part,
and we'll do ours, okay?
His breathing's not
improving with oxygen.
‐ Could be a pulmonary embolism.
‐ A w‐what?
A blood clot
in your lungs, Mr. Weiss.
Have you had
any surgery recently?
Any kind of a car accident?
Any sort of trauma?
(Jonathan)
'No.'
Spend a lot of time
traveling, Sitting?
‐ No.
‐ EKG.
T‐wave inversions.
‐ I'm thinking heart.
‐ I'm not. VQ scan.
He has no risk factors
and mid‐sternal chest pain.
I need that chest film.
And I need an echo.
Alright, well, that can't hurt.
Let's do it.
Mr. Conally?
‐ 'Yes?'
‐ Where are you?
Right here, under the sheet.
Why are you under the sheet?
I've been dead for two days.
Okay.
But you are still
suffering from headaches.
Oh, boy, am I ever!
And what precipitates
these headaches?
Death.
‐ What was that?
‐ Nervous tic.
I've had it for years.
Ow! Ouch!
Blood gases are back.
PO‐2's low, 50.
Where the hell
is the chest film?
Behind you, Dr. Greene.
(Mark)
'Pulmonary artery's enlarged.'
‐ Perfusion scan?
‐ VQ mismatch.
You were right.
1.5 million units
streptokinase.
Forget the streptokinase.
Let's get him to trauma.
We need a fluoroscope
down here.
And somebody get Morgenstern
to get his pants off.
Rolando, we got a trauma room?
Yeah, two's open.
You're gonna do an embolectomy?
Yeah, first time for everything.
‐ What the hell is going on?
‐ A saddle embolus.
Mark's going in.
He's doing an extraction
in the ER?
Mr. Smitrovich is in four.
CBC, Chem 7,
blood gases, IV started.
Luchesse in six,
abdominal pain, vomiting blood.
‐ Oh, Dr. Benton..
‐ NPO and a nasogastric tube‐‐
‐ Dr. Benton?
‐ What is it, Carter?
Well, if Dr. Greene
is doing embolectomy
we...I would like to observe it.
Alright, well,
who's stopping you? Go.
‐ Thanks.
‐ You wanna go too?
Go, go, go.
Get out of here.
‐ What's the matter with you?
‐ Luchesse?
Vomiting blood, NPO
nasogastric tube,
gastric lavage.
You ordered a gastric lavage?
No, I wrote it down.
‐ You still have to sign it.
‐ Nurse?
‐ I write my own orders.
‐ Nurse?
Look, if you're
having a problem today
don't take it out on me.
I write the orders,
you carry them out.
Understood?
‐ Nurse.
‐ What?
(Lydia)
Isoproterenol's going.
Okay, ease the catheter
in slowly
'and thread it up
to the pulmonary artery.'
Be very careful not
to puncture the vena cava.
How's Mr. Weiss doing?
Resps are up to 45.
Pulse ox down to 63.
Hang in there, Mr. Weiss
you'll be feeling better
before you know it.
Carter, Chen, why don't you
get over here so you can see?
See that?
(Mark)
'I'm in the right ventricle.'
Is that cool or what?
‐ Carter, you see the embolus?
‐ Yeah, it's huge.
(David)
'Position the cup
against the clot.'
Good. Now, start
your syringe suction.
(David)
'And aspirate the embolus
into the cup.'
Got it.
'And now, work it back down.'
Just like snaking a drain.
Well, folks, I got
a date with a bile duct.
Carry on, one and all.
Pulse ox up to 85.
Resps are coming down.
How are you feeling, Mr. Weiss?
[breathing heavily]
I can breathe.
I can breathe.
Okay, Harold, so,
something bit you, huh?
Pet snake.
Oh, yeah?
I used to keep frogs.
Frogs are amphibians.
My snake eats frogs.
What kind of snake?
Yellow eyelash pit viper.
You have a pet pit viper?
‐ Is it poisonous?
‐ Very.
‐ I'll call poison control.
‐ Mm‐hmm.
Are you feeling weak, Harold?
Nauseous, any chills?
No, not that kind of stuff.
Can you tell if it's
poisonous just by looking?
I don't think so.
'Cause I got him
right here in the bag.
Yeah, we're gonna keep him
in the bag, Harold, okay?
No, he's cold‐blooded and I
had him on the El all day, so..
...he'll sleep.
He was here a minute ago.
You shouldn't have
contradicted me
in front of the nursing staff.
I wasn't contradicting you,
we disagreed on a diagnosis.
I'd appreciate you
showing a little more
restraint in the future.
The man was dying.
I'm asking you for respect.
Are you going to
give it to me or not?
I wasn't being disrespectful.
Yes or no?
I respect you, Susan.
Thank you. Now, try to
show it once in a while.
I'll get animal control in here.
What's going on?
Doug, what is going on?
Dr. Ross in ER.
Pit viper got loose.
I'm gonna need 15 vials..
‐ A snake?
‐ A big snake.
Dr. Greene, 36‐year‐old
woman with breast cancer.
EMT's brought her in
from Dignity House.
Two modified
radical mastectomies.
It's spread to her lymph nodes.
‐ Who are you?
‐ I'm Anita Risberg.
I'm a nurse over
at, uh, the hospice.
Mark Greene. Is she on chemo?
Uh, tamoxifen,
but it's metastasized.
Pelvis, spine.
‐ You got her on morphine?
‐ 120 milligrams just to sleep.
But the last couple of days,
it's just not enough.
(Anita)
'I got worried
if I upped the dose'
it would cause further
respiratory depression.
You're right. It would.
‐ What's her name?
‐ Grace. Grace Holsten.
‐ 'Hi, Grace.'
‐ Doc..
‐ I'm Mark Greene.
‐ Doctor.
We're gonna try and make you
a little more comfortable.
Doctor, please..
...let me die.
Please.
Let me die.
[breathing heavily]
(Doug)
'Animal control guy believes
it's a kind of tree snake.'
He thinks it'll crawl up
someplace high where it's warm.
Whoops. Sorry, Doug.
Terrific. I'll spend
my day on my hands‐‐
Hey, Lydia.
Doug, come over here.
Okay.
Okay, it took about six months
and a couple thousand
requisition forms
but I finally did it.
Guess what's under the sheet?
‐ Come on, guys. Guess.
‐ We don't wanna guess.
Oh, come on. Please.
‐ New day bed for the lounge?
‐ Nope.
‐ New vending machines?
‐ Nope.
Ta‐dum!
New crash carts.
(female #1)
'Hey, we won't
get zapped anymore.'
Well, cardiology wanted 'em
but I was relentless.
Dr. Benton, you got an abdominal
pain in curtain three.
and you got a gunshot
victim coming in.
Now, no raiding off
the new crash carts, okay?
Everything on these carts
stays on the carts.
Thank you.
Dr. Benton, um, about this
afternoon's trauma presentation
uh, I‐I'm not
quite fully prepared yet.
You've known about it for weeks.
Yes, sir. I know that‐‐
Don't call me "sir," Ms. Chen.
Yes, sir. I mean, doctor.
Uh, I'm‐I'm sorry.
I only need a half hour, so..
And what about you, Mr. Carter?
Do you also need more time?
No, I'm all set.
Well, Ms. Chen,
when you find you have the time
to rejoin us, please, do so.
84‐year‐old man complaining
of abdominal pain.
‐ Where's his chart?
‐ In the rack.
At the desk.
Carter, go get his chart.
I'll need a CBC, Chem 7,
coag panel
and drop a nasogastric tube.
You gonna write this down?
I'm not comfortable
taking verbal orders.
I think you better write
everything down for us.
‐ Us?
‐ The nurses.
(Carter)
'Here's his chart.'
Start writing.
Grace..
...we've added fentanyl
to the morphine.
(Mark)
'See if that helps.'
'If it doesn't work,
we have three choices.'
We can insert a catheter
into your spinal cord
to deliver the morphine.
No.
'Or we can surgically
cut the spinal tracts'
'that carry the pain
from your legs and back.'
No.
Or we can increase your morphine
but your dosage
is already so high
it might depress your breathing.
Can you stop this pain?
I'm not sure.
‐ We're trying.
‐ Try harder.
[breathing heavily]
‐ Resps?
‐ Fourteen.
Let me know if her
breathing gets any worse.
Okay.
Don't even ask.
Mark, keep me company.
Good call on that
pulmonary embolism.
‐ Thanks.
‐ Oncology saw' 'em.
Found a small polyp.
Probably if he hadn't
tossed a clot
who knows how far
that thing would have gone
before rearing
his ugly little head.
What's all this?
Uh, some kind of
tree snake got loose.
‐ Really?
‐ Yeah.
I was really impressed
this morning
about your concern
for the medical students
making sure that they were
involved and learning.
‐ You're a fine teacher, Mark.
‐ Thanks.
You given any thought as to what
you're gonna do next year?
Start repaying med school loans.
I've sent out few letters,
but I haven't really started.
I'd like you to give
some give some thought
to joining the staff here.
As an attending?
Of course, you won't
make as much money
as the cowboys
at the private hospitals
but there are other rewards,
ephemeral as they may be.
Well, think about it, anyway.
No. No.
I'd be honored. Really.
[bell dings]
Now, here's my bus.
‐ Thank you.
‐ Thank you. You earned it.
(Doris)
'Twelve‐year‐old male,
multiple gunshots'
to the legs and abdomen.
We scooped and ran.
IV's wide open, had two liters.
No palpable pressure.
(Peter)
'Alright, people
let's look alive.'
'Let's wheel him in.
Get him in. Come on, now.'
O‐neg. Let's move!
Grab me that dinamap.
Is that IV infiltrated?
‐ Hang the blood Y‐tubing.
‐ Ready, lift.
‐ 'Come on.'
‐ 'Let's get an H and H.'
‐ 'I don't get a pulse.'
‐ 'He's still breathing.'
We tried to apply pressure,
he‐he was a sieve.
We didn't know where to start.
His name is Yummy Jackson.
‐ Drive‐by?
‐ Drug deal gone bad.
‐ Gang thing.
‐ At 12 years old?
Kid had a Tech‐9
and a Ruger on him
when we found him.
(female #2)
'Trauma one, get in here, now.'
'Alright, watch that line.'
She's still in a lot of pain.
Okay.
Grace, I'm sorry the fentanyl
isn't helping much.
It's helping a little.
Is there anything we can do
to make you more comfortable?
You can shoot me.
I'm sorry, I didn't bring
my gun to work today.
I don't think it's safe
to up the morphine any higher.
Afraid it'll kill me?
It might.
There's not a lot more that
the ER can do to help you.
Uh, do you want me
to admit you to the hospital?
[sighs]
Can I go back to the hospice?
Yes, you can, but they're
gonna need to bring you
back here for a higher dosage.
Can I take a little
while to decide?
Sure.
[indistinct chattering]
Can I help you?
Excuse me. Can I help you?
You can't be back here.
You must go now.
Oh, my God.
‐ Son of a bitch!
‐ Get out the way!
(Peter)
'You're too late.'
He's already dead.
[ECG flatlining]
It's madness.
You can see the posterior
dislocation of the knee
consistent with
this sledding injury
'which occurred
when the impact of the sled'
'applied direct force'
'to the anterior tibia'
'while the knee was flexed.'
'Injury to the..'
I'm really nervous.
‐ Don't worry about it.
‐ I picked too easy a topic.
I should've worked up
something more difficult.
Relax, Dr. Benton doesn't
expect that much from you.
It's your first rotation.
Should be attempted
using analgesia
'with horizontal traction
and realignment of the joint.'
Angiography, uh, should be
considered with attention
paid to the five P's, um..
...pain, pallor, paresthesias
uh, pulselessness and paralysis.
Alright, who's next?
Carter.
While attempting
a rollerblading maneuver
this 12‐year‐old male
fell on his outstretched..
...right hand resulting in a..
...Salt‐Salter Harris type II
epiphysial fracture
of the proximal humerus.
(Carter)
'To avoid damage
to the growth plate'
'the humeral head,
which is in varus angulation'
'and, uh, external rotation'
must be reduced by abducting
and externally rotating the arm
and then slowly
bringing the arm down.
'If the reduction
is not accomplished'
then the arm
must be maintained in a cast
in the Statue of Liberty
position.
Is that it?
Any questions?
Ms. Chen.
You'll do great.
Here.
Um, facial fractures.
(Deb)
'You'll find an outline'
and, uh, recent
research articles.
(Deb)
Would you pass it down?
Here we see examples
of a depressed fracture
of the left frontal bone
with disruption
to the orbital rim.
(Deb)
'Both the result
of blunt force trauma'
when the patient's face
intercepted a tire iron.
Uh, John, uh, if you
would please, the projector?
(Deb)
'Thank you.'
Orbital rim
and frontal sinus fractures
along with other fractures
to these facial bones
'often result in
concomitant CNS injury.'
'Diagnosis is established
with radiographic studies'
'and computerized tomography'
'preferably using
a three‐dimensional image'
'of the patient's skull.'
'As you can see
the frontal sinus'
'and orbital rim fractures here'
'are easily appreciated.'
How's her breathing?
Depressed but okay.
She's finally out.
Maybe we got the balance right
and she can get some sleep.
[Grace whispering]
'Kathy.'
Kathy.
‐ Who's Kathy?
‐ Her little girl.
Does she know she's here?
She lives out west somewhere
with Grace's ex‐husband.
Seattle, I think.
Grace gave up custody
when she entered the hospice.
She lost her child?
She entered the hospice to die.
'Life goes on.'
Then again,
sometimes it doesn't.
Old hospice joke.
(Grace)
'Oh, God!'
Oh, God. Oh, G..
‐ The fentanyl's wearing off.
‐ It hurts.
‐ Lie‐lie down.
‐ It hurts, it hurts.
Her resps are too low, I can't
give her anymore morphine.
‐ I can't, I can't stand it.
‐ I know, I'm sorry.
I'm so sorry.
It hurts. Please, doctor.
There's nothing else I can do.
Please, kill me.
Please. Please.
Shh. Relax.
‐ Please.
‐ Relax.
Please. Please.
Shh.
Susan!
‐ What do we got?
‐ 52‐year‐old male.
Grabbed his chest and collapsed.
Hypotensive, 80/60.
Tachycardic at 120.
Hypertension treated
with altace and tenormin.
‐ What are those, skates?
‐ This guy's a hockey ref.
Collapsed during
a game Kentbridge.
Some of the kids
followed us in a van.
Fifteen litres of O2,
Ringer's running in.
He's had eight migs morphine.
He's diaphoretic.
Call cardiology,
I need EKG and enzymes.
End of the line, guys. You gotta
wait in the waiting room.
‐ Is he gonna be okay?
‐ Uh, we don't know yet.
Uh, Mal‐Malik, can you
take them to waiting?
Yeah, I'll be there
in a minute.
We're gonna do
everything we can, okay?
(Susan)
'Okay, get the ambu‐bag.'
(Malik)
'Come on, guys.'
He's in fib. Crash cart.
‐ You'll see him later.
‐ 'Turn up the O‐2.'
Let's go.
‐ Where's the cart?
‐ Right here.
No, the new cart?
Where's the new cart?
Paddles.
I put one in here
less than an hour ago.
(Susan)
'Carol, 200.'
I can't believe somebody already
stole one of my new carts.
‐ 'Clear.'
‐ Clear.
Hey, is Jake around?
Uh, he went to get a soda.
Nice digs.
This is how
the other half lives?
I could do with
a little less glass, actually.
Well, there's
no blood on the carpet
so it's a step up from the ER.
You mind if I sit?
I've had my shots.
Yeah, Cindy was right.
You are kind of charming.
Is that...bad?
Depends.
‐ Jake's a great kid.
‐ He is a great kid.
'Hope you don't mind
if we shoot hoops now and then.'
I promise not to pass
along any misogyny
with the basketball tips.
Oh, don't worry,
if misogyny's genetic
he's inherited plenty
from his father.
Does he get to see his dad much?
They communicate by check..
...when it comes.
You know, if you don't like me,
you don't have to hide it.
You can just come
right out and show it.
I didn't know
I was being subtle.
‐ 'Hey.'
‐ Hey, yourself.
Dr. Ross has come to see if
you wanna play some basketball.
We'll be about a half an hour.
And put the jacket on.
I'll make sure he wears it.
Thanks.
D5 NS 100cc's per hour
NG tube,
gastric lavage, CBC
Chem 7 and amylase.
Alright, call the OR,
book a room
‐ What does this say?
‐ NG tube.
And by that, you would mean
a nasogastric tube?
Yes.
And this?
Dextrose 5, normal saline.
‐ An IV?
‐ Yes, an IV.
Well, I‐I've
examined the patient
and frankly, I believe she needs
a fine surgical hand like yours
to get an IV going properly.
[scoffs]
I'll have Carter do it.
And the nasogastric tube
you'll notice she has
a deviated septum
and I don't feel
comfortable putting one in.
I'll do it myself.
(Susan)
Tell the cath lab
his coag panel's cooking.
Here are his chest films.
See if you can find
those hockey kids
and tell 'em that
he's gonna be okay, will you?
‐ Thanks.
‐ Susan.
Susan.
Susan.
Susan, come on.
‐ Please. Susan.
‐ I'm busy, Mark.
I need to talk to you
about a patient.
End‐stage breast cancer,
bone mets to her back and legs
morphine's not working.
Neither's the fentanyl.
Susan, she's in agony.
There's nothing
I can do to help her.
Spinal morphine therapy,
cordotomy?
She refused both of them.
She just wants to die.
Well, it sounds like
she's going to soon.
She wants me to help her.
Her resps are down to 12.
If I give her
a little more morphine
her breathing will stop.
What would you do?
Uh..
...I don't know. I got to go.
How long are you
gonna keep this up?
You weren't there for me, Mark.
It was professional,
not personal.
We're not married,
we work together.
Professional is personal.
I miss you.
(Carter)
'All I'm saying is that
you could have told me'
you were doing facial fractures.
And that thing
with the computer?
I mean, I looked like an idiot.
No, no. Keep irrigating that.
[sighs]
I‐I can give you
the graphics program.
‐ I mean, it's easy to use.
‐ That's not the point.
The point is that I need a good
recommendation from Benton
if I'm gonna get
a surgical residency.
Alright, vertical
mattress, 4‐0 nylon.
‐ You wanna go into surgery?
‐ Yeah.
Why do you say it like that?
Uh, no, I mean,
I‐I think you'd be great.
No, you don't.
You just sounded surprised.
I do know a surprise
when I hear it
and you just, she just,
you just sounded surprised.
You really wanna
go into surgery?
I don't know. I might.
Well, look, John, I,
uh, I've seen my mother's
surgical residents
and the ones around here..
...it just
doesn't seem like you.
What do you mean,
your mother's residents?
Your mother's
a surgical attending?
Um, she's a chief of surgery.
Could‐could I get
some more 4x4s?
Chief of surgery.
‐ Where? What hospital?
‐ St. Bart's.
Why you even bother
coming to school?
I mean, you won't have any
trouble getting a residency.
'Look, it's not like that.
She won't help me at all.'
She didn't even want
me to go into medicine.
Uh, just don't say
anything to anyone, okay?
'They always jump to
conclusions and l end up having'
'to prove myself
all over again.'
'Okay? Please?'
John?
I found the snake.
[groaning]
Billy..
Billy..
Don't..
'Please.'
Mark, we need you
in two, rule out MI.
'Don't..'
Don't.
Billy, please.
Mark?
[groaning]
'I love you.'
[bell dings]
[dramatic music]
(Carter)
'Cardiology would
steal our crash carts?'
They steal everything.
‐ Are you sure they're up here?
‐ They were two hours ago.
Okay. Okay, Connie and Bob,
you stay with the carts.
You guys come with me.
I think we're in
the ladies room.
[water gurgling]
[indistinct chattering]
[giggling]
[door creaks]
Okay, ow!
[grunts]
Ow!
Oh, man!
[dramatic music]
Come on, come on,
come on, let's go.
‐ Dunphy's there.
‐ What do we do?
‐ Sheri Dunphy?
‐ Yeah.
Not a problem.
[indistinct chattering]
Sheri?
Doug, hi. How have you been?
Good. You look great.
You lost some weight?
I got married
last year, remember?
Believe me,
I'm still in mourning.
(Dunphy)
'Mm‐hmm. What are
you doin' up here?'
Is the cath lab still
up here, somewhere?
Uh, yeah, it's right
where it's always been.
If you could give me a hand,
really, just quickly. Please.
‐ Nope, I can't.
‐ You know, I got‐got a patient.
‐ I'm outta here.
‐ I've got a patient.
Six‐year‐old,
Tetralogy of fallot.
‐ Yeah. O‐okay.
‐ Uh, yeah, alright.
[chuckling]
He's unbelievable.
And you wonder why I slept
with him on the first date?
Really? First date.
You're kidding.
Yeah. He rang the doorbell.
Next thing I knew
we were on the kitchen floor.
Kitchen floor?
Sheesh! I gotta
start dating again.
Kids are having fun.
Yeah, they're, uh,
the hockey players from my MI.
Haven't been picked up yet.
How'd he do?
He's not dead,
if that's what you mean.
No.
That's not what I meant.
He's going to be fine.
How is she?
She died a couple
of minutes ago.
Respiratory failure?
[sighs]
I was listening
to those kids playing
and watching the snow fall.
You know, if you
stand right here.
Just‐just right over here
you can see the El from here.
Faces looking out the windows
into the darkness.
Life goes on, Mark.
[chuckles]
Do you wanna get
something to eat?
I can't. Uh, Jennifer
and Rachel are in town.
Another time maybe.
‐ Susan?
‐ Mm‐hmm.
Thanks.
See you tomorrow.
[indistinct chattering]
‐ 'Alright, come on, come on.'
‐ Stop now! Stop!
Where, where are their parents?
[speaking in foreign language]
‐ Carol!
‐ Yeah?
I'm having problems with Haleh.
So I heard.
I'd like you to reschedule her
so that we don't have
to work together anymore.
From what I hear, you're the
one who needs to be rescheduled.
So what does that mean?
You won't do it?
No, I won't. The nursing
schedule is my prerogative.
Even if that situation
is endangering patient care?
You work every day
and every third night.
Haleh's got
four kids to support.
When is she supposed to work?
The woman refuses
to follow my instructions.
Why should she? You're
still in training, remember?
‐ She already graduated.
‐ Oh, come on, Carol.
Don't give me that.
I mean, we are not equals.
Look, she may not know
how to cross‐clamp an aorta.
But Haleh has been working
in emergency medicine
for 20 years and if you
would ever hop off that pedestal
you've put yourself on,
you might see that
the nurses make this
place work, not you.
I smell food.
(Jennifer)
'I'm actually cooking.'
You mean like, from
scratch and everything?
Yeah, who knows? It might
become an annual tradition.
I don't know. I remember you...
cooking something last summer.
I think it was meat loaf maybe.
It definitely, yeah,
it was...something brown.
[chuckles]
Semi‐annual then.
When'd you get home?
'7:00 or so.'
'Traffic was awful.'
Where's Rach?
[sighs]
'She's in the bathtub.'
[sniffs]
Mm.
'God, what a week.
I'm exhausted'
‐ How was your day?
‐ Great and awful.
Tell me great.
I'm too tired for awful.
Morgenstern offered me a job..
...as attending
physician next year.
What'd you say?
I said yes.
Without discussing
it with me first?
An attending.
I figured I'd be
spending nights and weekends
at some community
hospital in Winnetka.
Is this a problem?
[sighs]
Well, can you tell Morgenstern
you need more time
to think about it?
I don't need to think about it.
This is a great opportunity.
Well, I'm not gonna know
until March if Judge Franklin
needs me to clerk for
him again next year.
Whoa!
You're considering spending
another year in Milwaukee?
'If he wants me to, yes.'
‐ Well, I assumed‐‐
‐ 'Exactly.'
You assumed things would be
the way you want them to be.
For the last six months,
things have not been exactly
'the way that I want them..'
I've been living by myself,
without my wife
without my daughter.
My wife? My daughter?
Mark, it's only been six months.
What about the
last six years, huh?
What about medical school
and rotations and residency?
Who was a paralegal so we
could put food on the table?
Who was in night school for
years trying to finish college?
Was that you?
No, that was me.
So, now I want it to
be about me for a change.
Not you.
How are you doing, Mr. Conally?
Are you still dead?
Oh, yeah, very.
My head feels better though.
Oh, well, that's good.
You just let us know if we can
get you anything else, okay?
Okay.
Goodnight.
Goodnight.
[sighs]
You're late. It's almost 10:00.
Yeah. I got held
up at the hospital.
Where's Walt and my sister?
Something at your
niece's school.
Uh, look, if you say
you're gonna be here at 8:00
'I need you to be here at 8.00.'
I've got an early
shift tomorrow.
Okay.
How was your first day?
How long ago was
your mother's stroke?
‐ 'Eight months.'
‐ It was a right parietal CVA?
Yeah.
Well, she's still suffering
from left hemiparesis.
Has she had any
physical therapy at all?
Of course she has
in the beginning.
Look, my mother doesn't have
any problems getting around.
I mean, that's the problem.
I mean, she's
always wandering off.
She's masking well.
But she has limited use
of her left arm and leg
and she's got bruises
all over her left side
'from running into things.'
And you‐you should have warned
me about the incontinence.
Yeah, well, that's, uh..
...that's just
a sometime thing, you know?
Not tonight, it wasn't.
[sighs]
Can you help my mother?
Well, I can't
make her any younger
but I can probably
improve her mobility.
She's a great lady.
I wish I would have known
her before the stroke.
Sure heard a lot about you.
She wouldn't stop
talking about her Petey.
I'm sorry about that.
No, hey, you're the baby
in the family, right?
I'm the...youngest
in the family, yeah.
Uh‐huh. My baby sister too.
My mom just loves her to death.
It still pisses me off.
Goodnight.
[sighs]
[sighs]
[theme music]